KATHRYN M SIUDYLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

KATHRYN M

Last Name

SIUDYLA

Business Name

KATHRYN M SIUDYLA

Original Issue Date

08/23/1984

Effective Date

08/23/1984

Expiration Date

09/30/1992

City

HANOVER PARK

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005